Medicaid Provider Spending

$1.09 trillion in Medicaid claims data, 2018–2024 · 617K+ providers

MOGOLLON TREATMENT CENTER

NPI: 1245908763 · PAYSON, AZ 85541 · Substance Use Disorder Rehabilitation Clinic/Center · NPI assigned 08/31/2021

$670K
Total Medicaid Paid
10,295
Total Claims
6,342
Beneficiaries
8
Codes Billed
2022-10
First Month
2024-12
Last Month

Provider Details

Authorized OfficialBLONDAL, TYRI (CHIEF OPERATIONS OFFICER)
NPI Enumeration Date08/31/2021

Related Entities

Other providers sharing the same authorized official: BLONDAL, TYRI

ProviderCityStateTotal Paid
MOGOLLON TREATMENT CENTER PHOENIX AZ $425K

Monthly Spending Trend

Yearly Breakdown

YearClaimsTotal Paid
2022 1,082 $67K
2023 4,785 $310K
2024 4,428 $293K

Billing Codes

CodeDescriptionClaimsBeneficiariesTotal Paid
99223 Prolong inpt eval add15 m 1,521 1,487 $212K
99231 Subsequent hospital care, per day, straightforward or low complexity 5,235 1,493 $178K
99239 Hospital discharge day management, more than 30 minutes 1,512 1,475 $126K
99233 Prolong inpt eval add15 m 1,434 1,402 $121K
99232 Subsequent hospital care, per day, moderate complexity 487 397 $27K
S0215 Non-emergency transportation; mileage, per mile 42 33 $4K
99238 Hospital discharge day management, 30 minutes or less 22 22 $1K
A0120 Non-emergency transportation: mini-bus, mountain area transports, or other transportation systems 42 33 $153.77